{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:11:34Z","timestamp":1777853494834,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,7,2]],"date-time":"2015-07-02T00:00:00Z","timestamp":1435795200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>The Health Resources and Services Administration requires that jurisdictions receiving Ryan White (RW) funding justify need, set priorities, and provide allocations using evidence-based methods. Methods and results from the 2011 Los Angeles Coordinated HIV\/AIDS Needs Assessment\u2013Care (LACHNA-Care) study are presented. Individual-level weights were applied to expand the sample from 400 to 18 912 persons, consistent with the 19 915 clients in the system. Awareness, need, and utilization for medical outpatient care were high (&gt;90%). Other services (eg, child care) had limited awareness (21%). Majority of participants reported at least 1 service gap (81%). Lack of insurance (risk ratio [RR] = 3.0, 95% confidence interval [CI]: 1.5-6.2), substance use (RR = 2.9, 95% CI: 1.3-6.4), and past lapses in medical care (RR = 2.8, 95% CI: 1.3-5.9) were associated with gaps. Within clusters, past incarceration was associated with gaps for housing (RR = 13.5, 95% CI: 3.5-52.1), transportation (RR = 3.2, 95% CI: 1.2-8.4), and case management (RR = 4.0, 95% CI: 1.3-12.2). Applied methods resulted in representative data instrumental to RW program planning efforts.<\/jats:p>","DOI":"10.1177\/2325957415592476","type":"journal-article","created":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T10:53:42Z","timestamp":1435920822000},"page":"383-395","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Methods to Obtain a Representative Sample of Ryan White-Funded Patients for a Needs Assessment in Los Angeles County: Results from a Replicable Approach"],"prefix":"10.1177","volume":"16","author":[{"given":"Rhodri","family":"Dierst-Davies","sequence":"first","affiliation":[{"name":"Division of HIV and STD Programs, Los Angeles County Department of Public Health, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy Rock","family":"Wohl","sequence":"additional","affiliation":[{"name":"Division of HIV and STD Programs, Los Angeles County Department of Public Health, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenda","family":"Pinney","sequence":"additional","affiliation":[{"name":"Los Angeles County Commission on HIV, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher H.","family":"Johnson","sequence":"additional","affiliation":[{"name":"U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Vincent-Jones","sequence":"additional","affiliation":[{"name":"Los Angeles County Commission on HIV, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario J.","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Division of HIV and STD Programs, Los Angeles County Department of Public Health, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,7,2]]},"reference":[{"key":"bibr1-2325957415592476","unstructured":"Department of Health and Human Services, Health Resources and Services Administration. Going the Distance: The Ryan White HIV\/AIDS Program \u2013 20 Years of Leadership, A Legacy of Care. Web site. http:\/\/hab.hrsa.gov\/data\/files\/2010progressrpt.pdf. Published August 2010. Accessed June 19, 2011."},{"key":"bibr2-2325957415592476","unstructured":"Health Resources and Services Administration, HIV\/AIDS Bureau. Ryan White HIV\/AIDS Program Overview [Fact sheet]. Web site. http:\/\/hab.hrsa.gov\/abouthab\/programfactsheets.html. Published October 2014. Accessed June 22, 2015."},{"key":"bibr3-2325957415592476","volume-title":"Evaluation: A Systematic Approach","author":"Rossi PH","year":"2004","edition":"7"},{"key":"bibr4-2325957415592476","doi-asserted-by":"publisher","DOI":"10.1097\/00124784-200209000-00005"},{"key":"bibr5-2325957415592476","unstructured":"Las Vegas Transitional Grant Area Ryan White Part A HIV\/AIDS Program. Targeted Needs Assessment\/Consumer Satisfaction Project 2011. Web site. http:\/\/www.lasvegasema.org\/images\/Needs_Assessment_Consumer_Satisfaction_Project_2011.pdf. Published 2011. Accessed June 19, 2011."},{"key":"bibr6-2325957415592476","unstructured":"McGowen M. The 2009 Memphis TGA Ryan White HIV\/AIDS Care Needs Assessment. Web site. www.shelbycountytn.gov\/DocumentView.aspx?DID=3067. Published June 1, 2009. Accessed June 19, 2011."},{"key":"bibr7-2325957415592476","unstructured":"Treasure Coast Health Counsel, Inc. Ryan White HIV\/AIDS Program Comprehensive Needs Assessment 2011-2014 Part B: Martin, St. Lucie, Okeechobee and Indian River County. Web site. http:\/\/cdn.trustedpartner.com\/docs\/library\/CareNetworkOfTheTreasureCoast2011\/Membership\/Comprehensive%20Needs%20Assessment%20.pdf. Published 2014. 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